Carole Decastro
Individual provider Active NPI School Registered Nurse · Chaparral, NM
NPI 1134577430 · NPPES record last updated May 26, 2016
Key facts
- NPI
- 1134577430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 798563 (TX)
- Practice address
- 800 County Line Rd.
Chaparral, NM 88081 - Phone
- (575) 824-6714
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798563 | TX | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Independent School District | Past | Accepting new patients | |
| Gadsden Independent School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 798563 | TX | Yes |
Addresses
Primary practice location
800 County Line Rd.
Chaparral, NM 88081
Mailing address
PO Box 70
Anthony, NM 88021-0070
Other providers in Chaparral, NM
- Cathy Chidester
- Bertha Lorena Contreras
- County Line Medical Service Inc
- Carleen Covington
- Michael Crespin
- Desert Vista Counseling and Behavioral Health Service LLC
- Desert Vista Counseling and Behavioral Health Service, LLC
- Rebecca Duran
- Eben-Ezer Home Care LLC
- Austin Tyler Eddy
All providers in Chaparral, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.